Robotic Retromuscular (Recurrent) Parastomal Hernia Repair (r-Pauli-Repair) With Synthetically Reinforced Biological Mesh; Technique, Early Experience, and Short-Term Follow-Up
Introduction: Parastomal hernia repair remains a challenge. We describe a robotic retromuscular non-keyhole mesh repair using a synthetically reinforced biological mesh (Ovitex) for the repair of complex and/or recurrent parastomal hernia and technical modifications we made along the way to improve...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-12-01
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| Series: | Journal of Abdominal Wall Surgery |
| Subjects: | |
| Online Access: | https://www.frontierspartnerships.org/articles/10.3389/jaws.2023.12059/full |
| _version_ | 1797393026264334336 |
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| author | A. L. A. Bloemendaal |
| author_facet | A. L. A. Bloemendaal |
| author_sort | A. L. A. Bloemendaal |
| collection | DOAJ |
| description | Introduction: Parastomal hernia repair remains a challenge. We describe a robotic retromuscular non-keyhole mesh repair using a synthetically reinforced biological mesh (Ovitex) for the repair of complex and/or recurrent parastomal hernia and technical modifications we made along the way to improve our technique.Methods: All patients underwent the described retromuscular parastomal hernia repair. Data was collected in a database and a retrospective analysis was performed on direct postoperative results and early follow-up.Results: Eleven patients underwent the operation. Median follow-up was 12 months. Median LOS was 6 days. Two recurrences occurred. One patient suffered postoperative hematoma and skin necrosis, which healed completely, but did lead to a recurrence. One patient had a significant seroma, which subsided without intervention. Both recurrences were reoperated, and a local repair was performed.Conclusion: This paper is the first to describe a modified robotic Pauli repair for complex and recurrent parastomal hernia, using a synthetically reinforced biological mesh. Results are satisfying so far, especially considering the complexity of the cases. |
| first_indexed | 2024-03-08T23:57:09Z |
| format | Article |
| id | doaj.art-cee31726810741f58d91d6b1e3a6f5ef |
| institution | Directory Open Access Journal |
| issn | 2813-2092 |
| language | English |
| last_indexed | 2024-03-08T23:57:09Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Journal of Abdominal Wall Surgery |
| spelling | doaj.art-cee31726810741f58d91d6b1e3a6f5ef2023-12-13T04:11:56ZengFrontiers Media S.A.Journal of Abdominal Wall Surgery2813-20922023-12-01210.3389/jaws.2023.1205912059Robotic Retromuscular (Recurrent) Parastomal Hernia Repair (r-Pauli-Repair) With Synthetically Reinforced Biological Mesh; Technique, Early Experience, and Short-Term Follow-UpA. L. A. BloemendaalIntroduction: Parastomal hernia repair remains a challenge. We describe a robotic retromuscular non-keyhole mesh repair using a synthetically reinforced biological mesh (Ovitex) for the repair of complex and/or recurrent parastomal hernia and technical modifications we made along the way to improve our technique.Methods: All patients underwent the described retromuscular parastomal hernia repair. Data was collected in a database and a retrospective analysis was performed on direct postoperative results and early follow-up.Results: Eleven patients underwent the operation. Median follow-up was 12 months. Median LOS was 6 days. Two recurrences occurred. One patient suffered postoperative hematoma and skin necrosis, which healed completely, but did lead to a recurrence. One patient had a significant seroma, which subsided without intervention. Both recurrences were reoperated, and a local repair was performed.Conclusion: This paper is the first to describe a modified robotic Pauli repair for complex and recurrent parastomal hernia, using a synthetically reinforced biological mesh. Results are satisfying so far, especially considering the complexity of the cases.https://www.frontierspartnerships.org/articles/10.3389/jaws.2023.12059/fullparastomal hernia repairroboticretromuscularbiological meshabdominal wall surgery |
| spellingShingle | A. L. A. Bloemendaal Robotic Retromuscular (Recurrent) Parastomal Hernia Repair (r-Pauli-Repair) With Synthetically Reinforced Biological Mesh; Technique, Early Experience, and Short-Term Follow-Up Journal of Abdominal Wall Surgery parastomal hernia repair robotic retromuscular biological mesh abdominal wall surgery |
| title | Robotic Retromuscular (Recurrent) Parastomal Hernia Repair (r-Pauli-Repair) With Synthetically Reinforced Biological Mesh; Technique, Early Experience, and Short-Term Follow-Up |
| title_full | Robotic Retromuscular (Recurrent) Parastomal Hernia Repair (r-Pauli-Repair) With Synthetically Reinforced Biological Mesh; Technique, Early Experience, and Short-Term Follow-Up |
| title_fullStr | Robotic Retromuscular (Recurrent) Parastomal Hernia Repair (r-Pauli-Repair) With Synthetically Reinforced Biological Mesh; Technique, Early Experience, and Short-Term Follow-Up |
| title_full_unstemmed | Robotic Retromuscular (Recurrent) Parastomal Hernia Repair (r-Pauli-Repair) With Synthetically Reinforced Biological Mesh; Technique, Early Experience, and Short-Term Follow-Up |
| title_short | Robotic Retromuscular (Recurrent) Parastomal Hernia Repair (r-Pauli-Repair) With Synthetically Reinforced Biological Mesh; Technique, Early Experience, and Short-Term Follow-Up |
| title_sort | robotic retromuscular recurrent parastomal hernia repair r pauli repair with synthetically reinforced biological mesh technique early experience and short term follow up |
| topic | parastomal hernia repair robotic retromuscular biological mesh abdominal wall surgery |
| url | https://www.frontierspartnerships.org/articles/10.3389/jaws.2023.12059/full |
| work_keys_str_mv | AT alabloemendaal roboticretromuscularrecurrentparastomalherniarepairrpaulirepairwithsyntheticallyreinforcedbiologicalmeshtechniqueearlyexperienceandshorttermfollowup |